NPI 1104863547 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Denison, TX. National Provider Identifier 1104863547, active.
NPI record
| NPI | 1104863547 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 200 W Crawford St, Denison, TX 75020 |
| Practice phone | 903-465-6182 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | June 2, 2006 |
| Last updated | June 16, 2025 |
| Authorized official | Kathy Giannakopoulos, Enrollment Manager |
| Other names | Albertsons Pharmacy #0716 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 14827 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.